Factorial Analysis Quantifies the Effects of Pediatric Discharge Bundle on Hospital Readmission.
Document Type
Article
Publication Date
10-2021
Institution/Department
Pediatrics
Journal Title
Pediatrics
MeSH Headings
Aftercare, Ambulatory Care, Checklist, Child, Child, Hospitalized, Child, Preschool, Factor Analysis, Statistical, Female, Humans, Male, Patient Care Bundles, Patient Discharge, Patient Education as Topic, Patient Readmission, Retrospective Studies, Teach-Back Communication
Abstract
BACKGROUND AND OBJECTIVES: Factorial design of a natural experiment was used to quantify the benefit of individual and combined bundle elements from a 4-element discharge transition bundle (checklist, teach-back, handoff to outpatient providers, and postdischarge phone call) on 30-day readmission rates (RRs).
METHODS: A 2
RESULTS: RR in CRG1 was 3.5% (
CONCLUSIONS: The effect of bundle elements varied across risk groups, indicating that transition needs may vary on the basis of population. The combined use of teach-back plus a checklist had the greatest impact on reducing RR for medically complex patients.
ISSN
1098-4275
Recommended Citation
Osorio, Snezana Nena; Gage, Sandra; Mallory, Leah; Soung, Paula; Satty, Alexandra; Abramson, Erika L; Provost, Lloyd; and Cooperberg, David, "Factorial Analysis Quantifies the Effects of Pediatric Discharge Bundle on Hospital Readmission." (2021). Maine Medical Center. 3672.
https://knowledgeconnection.mainehealth.org/mmc/3672
